This subject was selected from deductions forcibly impressed on me during ten years of experience in examinations of more than 2,300 candidates before the American Board of Otolaryngology. That problems of otolaryngology are clearly related to general medicine has been recognized from time to time in the literature and in practice. The earlier otolaryngologists numbered quite a few men who were trained in general medicine first and in otolaryngology later, whereas the modern specialism concentrates the training for a number of years on otolaryngology and to a considerable extent ignores the related and borderline problems.
Postgraduate instruction in this country is an evolutionary training, and the best opportunities are offered in a comparatively few centers. In the effort to stress the highly technical surgical procedures, the allied specialties, such as neurology and internal medicine, are given scanty consideration. The examinations given by the board indicate that the candidates are splendidly